補充鈣，你吃對了嗎？Calcium supplement, you eat right?

補充鈣，你吃對了嗎？ 【陳惠惠】如果你已做過骨質密度檢測，確定自己是骨質疏鬆患者，醫生可能開給你什麼藥？ 猛吞維骨力？狂吃軟骨素？或任何跟「骨」字扯得上邊的產品，都拿來「顧筋骨」？醫師說，骨頭要好，關鍵就是30歲前存足骨本，一旦骨質疏鬆，除了吃藥治療，還要補充鈣片。 骨鬆兩種藥 破骨與造骨 骨質疏鬆症的用藥治療，近年已有長足的進步，現階段用來治療骨質疏鬆的藥物可分成兩大類，以往的藥物主要為「破骨抑制劑」，最近則有「造骨促進劑」供民眾選擇。 台灣馬偕醫院骨科主治醫師張定國說，目前較常用的是破骨抑制劑，至於造骨促進劑雖可快速提升骨質密度，但價格相對昂貴。 除了吃藥，骨鬆患者還要吃鈣片、飲食多攝取含鈣食物，「鈣質才是骨頭主要成分。」 台北振興醫院骨科主治醫師曾國峰說，沒有原料，不管怎麼調控造骨或破骨細胞都沒用。 骨鬆補鈣片 天然未必好 市面上鈣片成分頗多，像是碳酸鈣、磷酸鈣、檸檬酸鈣、乳酸鈣跟葡萄酸鈣等，甚至還有珊瑚鈣、牡蠣鈣等，民眾往往不知何選擇。「不見得天然的最好。」曾國峰說，標榜萃取自生物的鈣，很可能有重金屬汙染的疑慮，化學合成鈣的品質反而較穩定。 元素鈣含量 吸收的關鍵 「一般成年人只要飲食均衡，不須特別補充鈣片。」張定國說，人體對鈣片的吸收率只有一到兩成，適當的維他命D可以促進鈣的吸收，選購時，可考慮額外添加維他命D的鈣片。 另外，據曾國峰觀察，很多民眾只見包裝上標示，每顆碳酸鈣含量1000毫克，以為只要吞1顆，就可以攝取1000毫克的鈣，那可就錯了。 「選購時，不光是看總劑量，還要注意元素鈣含量。」曾國峰說，很多人只知道吃鈣片，卻不曉得吃進多少鈣，鈣片裡，可以被吸收利用的就是「元素鈣」。 例如，1000毫克碳酸鈣裡，元素鈣的含量通常只有400毫克。 體質大不同 好壞無絕對 骨科醫師眼裡，鈣片沒有絕對好壞。曾國峰舉例，像檸檬酸鈣、乳酸鈣跟葡萄酸鈣的元素鈣比率雖相對低，但吸收度較好，葡萄酸鈣則較少用。 鈣片分為藥品級及食品級，若醫師建議使用藥品級鈣片，可參考藥品使用說明書，上面有寫明元素鈣含量。 他建議，除了看元素鈣含量高低，還要視個人身體狀況，有些鈣片元素鈣含量雖高，但下肚後卻易便秘、脹氣，還是要找出最適合自己的鈣片。 2008-11-02 Calcium supplement, you eat right? Chen Huihui】 【If you already have bone density tests to identify themselves as patients with osteoporosis, doctors may be open to you what drugs? Meng-dimensional s swallow? Kuangchi chondroitin? Or with any "bones" of the above products, too, are used to "taking care of the bones"? Doctors said the bones better, the key is to keep the former 30-year-old bone of the foot, once osteoporosis, in addition to medication treatment, but also added calcium. Song of bone-breaking two drugs made of bone and bone Osteoporosis drug treatment, in recent years has come a long way, at this stage for the treatment of osteoporosis drugs can be divided into two major categories, the main drugs in the past as "inhibitors of bone-breaking," recently "bone-made accelerator" For the people to choose. Taiwan's Mackay Memorial Hospital orthopedic physician Zhang Ting-kuo, said that the break is more commonly used inhibitors of bone, bone promoter As for the building, although able to enhance rapid bone density, but the price is relatively expensive. In addition to medication, patients with osteoporosis should also eat calcium, dietary calcium intake of more food, "calcium is the main component of bone." Taipei Hospital attending physician to revive the country have said that the peak, there is no material, no matter how regulation of osteoclasts, or bone building cells, with no one. Calcium bone natural pine may not be good Calcium on the market quite a lot of components, such as calcium carbonate, calcium phosphate, calcium citrate, calcium lactate with grapes such as calcium, and even coral calcium, and calcium oysters, people often do not know what to choose. "Natural is not necessarily the best." Tsang-feng said that the extract itself from the biological calcium, is likely to have doubts about the heavy-metal contamination, chemical synthesis of calcium-quality but more stable. Elements of the absorption of calcium content key "As long as most adults eat a balanced diet, not requiring special calcium supplement." Zhang Ting-kuo, said that the body's absorption of calcium was only 1-2 as the appropriate vitamin D may promote the absorption of calcium, purchase, may wish to consider adding an additional Vitamin D of calcium. In addition, according to Zeng Feng, observed that many people saw marked on the packaging, each 1,000 mg of calcium carbonate content in the belief that once a swallow, you can intake of 1,000 milligrams of calcium, it may be wrong. "Buy, not just look at the total dose, but also pay attention to calcium content elements." Tsang-feng said that many people only know that eating calcium does not know how much to eat into the calcium, calcium, can be used to absorb that "Elements of calcium." For example, 1,000 mg of calcium carbonate, calcium content elements are usually only 400 mg. Great physique is absolutely no different from good or bad Orthopedic physician's eyes, calcium there is no absolute good or bad. Zeng Feng, for example, such as calcium citrate, calcium lactate with calcium grape elements, although relatively low ratio of calcium, but a good degree of absorption, calcium grapes are used less. Calcium into drugs and food-grade class, if doctors recommend the use of calcium-class drugs, the use of drugs can refer to the prospectus, it has been stated clearly above elements calcium content. He suggested that, in addition to look at elements of high and low calcium content, but also as the individual physical condition, and some elements of calcium, although the high calcium content, but Xia Du Yi after constipation, flatulence, or to identify the most suitable for their calcium. 2008-11-02 View more information, see the World Journal reported that e-ePaper

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